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Video-assisted harvesting of internal thoracic artery through median sternotomy incision in pectus excavatum
ISSN: 2148 - 9211Publisher: author   
Video-assisted harvesting of internal thoracic artery through median sternotomy incision in pectus excavatum
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Medical Sciences
ARTICLE-FACTOR
1.3
Article Basics Score: 3
Article Transparency Score: 3
Article Operation Score: 2
Article Articles Score: 3
Article Accessibility Score: 3
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International Category Code (ICC):
ICC-1702
Publisher: Cardiovascular Surgery And Interventions Bayçınar Medica..
International Journal Address (IAA):
IAA.ZONE/214844599211
eISSN
:
2148 - 9211
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Abstract
Pectus excavatum is the most common deformity of the chest wall, in which the sternum and ribs show an abnormal growth. This pathology may complicate the operative exposure and manipulation during LITA harvesting through the median sternotomy incision in coronary artery bypass surgery. A 60-year-old female patient with three-vessel coronary disease and pectus excavatum was admitted. The patient underwent myocardial revascularization through median sternotomy, however, the exposure of the left internal thoracic artery was unsatisfactory due to the pectus deformity. Therefore, a 30-degree endoscope was successfully used for in situ harvesting of the left internal thoracic artery. In conclusion, the use of an endoscope is a safe and feasible solution for in situ internal thoracic artery harvesting in patientswith pectus deformity who undergo coronary artery bypass grafting using sternotomy. Keywords: Coronary artery bypass grafting; inte...